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Packagehl7.fhir.in
Resource TypeBundle
IdBundle-DiagnosticReport-Lab-example-03.json
FHIR VersionR4

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Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "id": "DiagnosticReport-Lab-example-03",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2020-07-09T15:32:26.605+05:30",
    "profile": [
      "http://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle"
    ],
    "security": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code": "V",
        "display": "very restricted"
      }
    ]
  },
  "identifier": {
    "system": "http://hip.in",
    "value": "3cf54fc4-0178-4127-bb99-b20711404881"
  },
  "type": "document",
  "timestamp": "2020-07-09T15:32:26.605+05:30",
  "entry": [
    {
      "fullUrl": "Composition/1",
      "resource": {
        "resourceType": "Composition",
        "id": "1",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2020-07-09T15:32:26.605+05:30",
          "profile": [
            "http://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportRecord"
          ]
        },
        "language": "en-IN",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h4>Narrative with Details</h4>\r\n      <p><b>id:</b> 1</p>\r\n\t  <p><b>status:</b> final</p>\r\n\t  <p><b>category:</b> Hematology service (Details : {http://snomed.info/sct} code '708196005' = 'Hematology service')</p>\r\n\t  <p><b>code:</b> Lipid 1996 panel - Serum or Plasma (Details : {http://loinc.org} code '24331-1' = 'Lipid 1996 panel - Serum or Plasma')</p>\r\n\t  <p><b>subject:</b> ABC. Generated Summary: id: 1; Medical Record Number = 1234 (System : {https://healthid.ndhm.gov.in}); active; ABC ; ph: +919818512600(HOME); gender: male; birthDate: 1981-01-12</p>\r\n\t  <p><b>issued:</b> 2020-07-10T11:45:33+11:00</p>\r\n\t  <p><b>performer:</b> XYZ Lab Pvt.Ltd.</p>\r\n\t  <p><b>resultInterpreter:</b> Dr. DEF. Generated Summary: id: 1; Medical License number = 7601003178999 (System : {doctor.ndhm.gov.in})</p>\n\t\t\t\t\t\t<h3>Lipid Report for ABC issued 9-July 2020 14:26</h3>\n\t\t\t\t\t\t<pre>\nTest                  Units       Value       Reference Range\nCholesterol           mmol/L      6.3         &lt;4.5\nTriglyceride          mmol/L      1.3         &lt;2.0\n\n      </pre>\n\t\t\t\t\t\t<p>XYZ Lab Pvt.Ltd., Inc signed: Dr. DEF Pathologist</p>\n\t\t\t\t\t</div>"
        },
        "identifier": {
          "system": "https://ndhm.in/phr",
          "value": "645bb0c3-ff7e-4123-bef5-3852a4784813"
        },
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "721981007",
              "display": "Diagnostic studies report"
            }
          ],
          "text": "Diagnostic Report- Lab"
        },
        "subject": {
          "reference": "Patient/1"
        },
        "date": "2017-05-27T11:46:09+05:30",
        "author": [
          {
            "reference": "Practitioner/1"
          }
        ],
        "title": "Diagnostic Report- Lab",
        "section": [
          {
            "title": "Hematology report",
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "4321000179101",
                  "display": "Hematology report"
                }
              ]
            },
            "entry": [
              {
                "reference": "DiagnosticReport/1",
                "type": "DiagnosticReport"
              },
              {
                "reference": "DocumentReference/1",
                "type": "DocumentReference"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Patient/1",
      "resource": {
        "resourceType": "Patient",
        "id": "1",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2020-07-09T14:58:58.181+05:30",
          "profile": [
            "http://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">ABC, 41 year, Male</div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical record number"
                }
              ]
            },
            "system": "https://healthid.ndhm.gov.in",
            "value": "22-7225-4829-5255"
          }
        ],
        "name": [
          {
            "text": "ABC"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+919818512600",
            "use": "home"
          }
        ],
        "gender": "male",
        "birthDate": "1981-01-12"
      }
    },
    {
      "fullUrl": "Practitioner/1",
      "resource": {
        "resourceType": "Practitioner",
        "id": "1",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2019-05-29T14:58:58.181+05:30",
          "profile": [
            "http://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dr. DEF, MD (Pathology)</div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MD",
                  "display": "Medical License number"
                }
              ]
            },
            "system": "https://doctor.ndhm.gov.in",
            "value": "21-1521-3828-3227"
          }
        ],
        "name": [
          {
            "text": "Dr. DEF"
          }
        ]
      }
    },
    {
      "fullUrl": "Organization/1",
      "resource": {
        "resourceType": "Organization",
        "id": "1",
        "meta": {
          "profile": [
            "http://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">XYZ Lab Pvt.Ltd. ph: +91 243 2634 1234, email:<a href=\"mailto:contact@labs.xyz.org\">contact@labs.xyz.org</a></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN",
                  "display": "Provider number"
                }
              ]
            },
            "system": "https://facility.ndhm.gov.in",
            "value": "4567878"
          }
        ],
        "name": "XYZ Lab Pvt.Ltd.",
        "telecom": [
          {
            "system": "phone",
            "value": "+91 243 2634 1234",
            "use": "work"
          },
          {
            "system": "email",
            "value": "contact@labs.xyz.org",
            "use": "work"
          }
        ]
      }
    },
    {
      "fullUrl": "DiagnosticReport/1",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "1",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2020-07-09T15:32:26.605+05:30",
          "profile": [
            "http://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<h3>Lipid Report for ABC issued 9-July 2020 14:26</h3>\n\t\t\t\t\t\t<pre>\nTest                  Units       Value       Reference Range\nCholesterol           mmol/L      6.3         &lt;4.5\nTriglyceride          mmol/L      1.3         &lt;2.0\n\n      </pre>\n\t\t\t\t\t\t<p>XYZ Lab Pvt.Ltd., Inc signed: Dr. DEF Pathologist</p>\n\t\t\t\t\t</div>"
        },
        "identifier": [
          {
            "system": "https://xyz.com/lab/reports",
            "value": "5234342"
          }
        ],
        "basedOn": [
          {
            "reference": "ServiceRequest/1"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "708196005",
                "display": "Hematology service"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "24331-1",
              "display": "Lipid 1996 panel - Serum or Plasma"
            }
          ],
          "text": "Lipid Panel"
        },
        "subject": {
          "reference": "Patient/1",
          "display": "ABC"
        },
        "issued": "2020-07-10T11:45:33+11:00",
        "performer": [
          {
            "reference": "Organization/1",
            "display": "XYZ Lab Pvt.Ltd."
          }
        ],
        "resultsInterpreter": [
          {
            "reference": "Practitioner/1",
            "display": "Dr. DEF"
          }
        ],
        "specimen": [
          {
            "reference": "Specimen/1"
          }
        ],
        "result": [
          {
            "reference": "Observation/cholesterol"
          },
          {
            "reference": "Observation/triglyceride"
          }
        ],
        "conclusion": "Elevated cholesterol/high density lipoprotein ratio",
        "conclusionCode": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "439953004",
                "display": "Elevated cholesterol/high density lipoprotein ratio"
              }
            ]
          }
        ],
        "presentedForm": [
          {
            "contentType": "application/pdf",
            "language": "en-IN",
            "data": "R0lGODlhfgCRAPcAAAAAAIAAAACAAICAAAAAgIAA oxrXyMY2uvGNcIyj    HOeoxkXBh44OOZdn8Ggu+DiPjwtJ2CZyUomCTRGO",
            "title": "Diagnostic Report"
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/cholesterol",
      "resource": {
        "resourceType": "Observation",
        "id": "cholesterol",
        "meta": {
          "profile": [
            "http://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: cholesterol</p><p><b>status</b>: final</p><p><b>code</b>: Cholesterol <span>(Details : {LOINC code '35200-5' = 'Cholesterol [Mass or Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/​volume] in Serum or Plasma'})</span></p><p><b>subject</b>: <a>ABC</a></p><p><b>performer</b>: <a>XYZ Lab Pvt.Ltd.</a></p><p><b>value</b>: 6.3 mmol/L<span> (Details: UCUM code mmol/L = 'mmol/L')</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>High</b></td></tr><tr><td>*</td><td>4.5 mmol/L<span> (Details: UCUM code mmol/L = 'mmol/L')</span></td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "35200-5",
              "display": "Cholesterol [Moles/​volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol"
        },
        "subject": {
          "reference": "Patient/1"
        },
        "performer": [
          {
            "reference": "Organization/1"
          }
        ],
        "valueQuantity": {
          "value": 6.3,
          "unit": "mmol/L",
          "system": "http://snomed.info/sct",
          "code": "258813002"
        },
        "referenceRange": [
          {
            "high": {
              "value": 4.5,
              "unit": "mmol/L",
              "system": "http://snomed.info/sct",
              "code": "258813002"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/triglyceride",
      "resource": {
        "resourceType": "Observation",
        "id": "triglyceride",
        "meta": {
          "profile": [
            "http://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: triglyceride</p><p><b>status</b>: final</p><p><b>code</b>: Triglyceride <span>(Details : {LOINC code '35217-9' = 'Triglyceride [Mass or Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/​volume] in Serum or Plasma'})</span></p><p><b>subject</b>: <a>ABC</a></p><p><b>performer</b>: <a>XYZ Lab Pvt.Ltd.</a></p><p><b>value</b>: 1.3 mmol/L<span> (Details: UCUM code mmol/L = 'mmol/L')</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>High</b></td></tr><tr><td>*</td><td>2.0 mmol/L<span> (Details: UCUM code mmol/L = 'mmol/L')</span></td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "35217-9",
              "display": "Triglyceride [Moles/​volume] in Serum or Plasma"
            }
          ],
          "text": "Triglycerides, serum by Enzymatic method"
        },
        "subject": {
          "reference": "Patient/1"
        },
        "performer": [
          {
            "reference": "Organization/1"
          }
        ],
        "valueQuantity": {
          "value": 1.3,
          "unit": "mmol/L",
          "system": "http://snomed.info/sct",
          "code": "258813002"
        },
        "referenceRange": [
          {
            "high": {
              "value": 2,
              "unit": "mmol/L",
              "system": "http://snomed.info/sct",
              "code": "258813002"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "Specimen/1",
      "resource": {
        "resourceType": "Specimen",
        "id": "1",
        "meta": {
          "profile": [
            "http://nrces.in/ndhm/fhir/r4/StructureDefinition/Specimen"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p></div>"
        },
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "119364003",
              "display": "Serum specimen"
            }
          ]
        },
        "subject": {
          "reference": "Patient/1"
        },
        "receivedTime": "2015-07-08T06:40:17Z",
        "collection": {
          "collectedDateTime": "2020-07-08T06:40:17Z"
        }
      }
    },
    {
      "fullUrl": "ServiceRequest/1",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "1",
        "meta": {
          "profile": [
            "http://nrces.in/ndhm/fhir/r4/StructureDefinition/ServiceRequest"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 1</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>subject</b>: <a>ABC</a></p><p><b>occurrence</b>: 08/07/2020 9:33:00 AM</p><p><b>requester</b>: <a>Dr. PQR</a></p></div>"
        },
        "status": "active",
        "intent": "original-order",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "16254007",
              "display": "Lipid Panel"
            }
          ]
        },
        "subject": {
          "reference": "Patient/1"
        },
        "occurrenceDateTime": "2020-07-08T09:33:27+07:00",
        "requester": {
          "reference": "Practitioner/2",
          "display": "Dr. PQR"
        }
      }
    },
    {
      "fullUrl": "Practitioner/2",
      "resource": {
        "resourceType": "Practitioner",
        "id": "2",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2019-05-29T14:58:58.181+05:30",
          "profile": [
            "http://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dr. PQR, MD (Medicine)</div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MD",
                  "display": "Medical License number"
                }
              ]
            },
            "system": "https://doctor.ndhm.gov.in",
            "value": "25-1531-3528-3228"
          }
        ],
        "name": [
          {
            "text": "Dr. PQR"
          }
        ]
      }
    },
    {
      "fullUrl": "DocumentReference/1",
      "resource": {
        "resourceType": "DocumentReference",
        "id": "1",
        "meta": {
          "profile": [
            "http://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p></div>"
        },
        "status": "current",
        "docStatus": "final",
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "4241000179101",
              "display": "Laboratory report"
            }
          ],
          "text": "Laboratory report"
        },
        "subject": {
          "reference": "Patient/1"
        },
        "content": [
          {
            "attachment": {
              "contentType": "application/pdf",
              "language": "en-IN",
              "data": "R0lGODlhfgCRAPcAAAAAAIAAAACAAICAAAAAgIAA oxrXyMY2uvGNcIyj    HOeoxkXBh44OOZdn8Ggu+DiPjwtJ2CZyUomCTRGO",
              "size": 72,
              "hash": "2jmj7l5rSw0yVb/vlWAYkK/YBwk=",
              "title": "Laboratory report",
              "creation": "2019-05-29T14:58:58.181+05:30"
            }
          }
        ]
      }
    }
  ]
}